CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Mercy Rehabilitation Hospital Springfield

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $473
  • Cash Discount Price: $473
  • vs. Medicare Baseline: 2.64x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Mercy Rehabilitation Hospital Springfield is $473. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $473. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.64x the Medicare baseline. Located in 5904 S Southwood Rd, Springfield, MO.
Cash / Self-Pay
$473

Average discount available for prompt cash payment at this facility.

Insurance Median
$473

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $473 (264%)
Insurance Median: $473 (264%)
Cash: $473 (264% of Medicare)
Ins. Median: $473 (264% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 264% of the Medicare baseline (a markup of 164%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $284 - $473 158%
Blue Preferred $342 191%
Firsthealth Network $345 193%
Blue Cross Blue Shield $359 - $473 200%
Healthlink Workcomp $402 224%
Allwell From Home State Health $473 264%
Allyalign Health (Nhc Advantage) $473 264%
Ambetter / Centene $473 264%
Architectural Systems, Inc. (Asi) $473 264%
Ava R1 School District (Smbc) $473 264%
Bakersfield School District (Smbc) $473 264%
Blue Access $473 264%
Bolivar School (Smbc) $473 264%
Buchheit $473 264%
Cardinal Scale (Tri State Healthcare Coalition) $473 264%
Carthage R-9 School District (Tri-State Healthcare Coalition) $473 264%
Cigna $473 264%
City Of Springfield $473 264%
City Of Webb City (Tri State Healthcare Coalition) $473 264%
Devoted Healthcare $473 264%
Diversified Plastics $473 264%
Dora School District (Smbc) $473 264%
Easter Seals Midwest $473 264%
Employers Benefit Alliance $473 264%
Essence $473 264%
Evolutions $473 264%
Fabick Cat $473 264%
Fair Grove School District (Smbc) $473 264%
Health Net Federal Services $473 264%
Health Systems, Inc. $473 264%
Healthlink Hmo $473 264%
Healthlink Ppo $473 264%
Heart Of America (Tri State Healthcare Coalition &Amp;#8211; Med Pay) $473 264%
Hickory County Skyline School District (Smbc) $473 264%
Home State Health Plan, Inc. $473 264%
Humana $473 264%
J And M Farms, Inc. (Tri-State Healthcare Coalition) $473 264%
Jayhawk Fine Chemicals/Evonic(Tri State Healthcare Coalition) $473 264%
Laclede County School District Conway (Smbc) $473 264%
Lebanon School District (Smbc) $473 264%
Liberty Utilities (Empire District Electric) $473 264%
Marshfield School District (Smbc) $473 264%
Medica $473 264%
Medicaid / KanCare $473 264%
Mercy Charity Contract $473 264%
Mers Goodwill $473 264%
Missouri State University $473 264%
Mount Vernon School District (Smbc) $473 264%
Mountain Grove R-111 School District (Smbc) $473 264%
Mountain View School District (Smbc) $473 264%
Multiplan/Phcs/Beech Street $473 264%
Ozarks Community Hospital $473 264%
Pathway/Pathway X $473 264%
Phcs Savility $473 264%
Quality Collisson Group $473 264%
Quiktrip Corporation $473 264%
Richards R-V School District (Smbc) $473 264%
Roper Automotive Group (Tri State Healthcare Coalition) $473 264%
S And H Farm Supply $473 264%
Schreiber Foods $473 264%
Shinesolar $473 264%
Springfield Public Schools $473 264%
Springfield Remanufacturing $473 264%
Trailiner $473 264%
UnitedHealthcare $473 264%
Webb City R-Vii School District (Tri-State Healthcare Coalition) $473 264%
Wellcare Health Plans $473 264%
Woodard Cleaning &Amp;#038; Restoration, Inc. $473 264%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5904 S Southwood Rd, Springfield, MO 65804
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL